水肿之病。有因鼓胀而得者。有不因鼓胀而得者。视其眼高起如卧蚕状者。必发此症。
论大法宜实脾利小水。宽膨去湿顺气。然病势至此。则水气用事。真气无权矣。
祛水饮 治腰以上肿。身热气在表。宜发汗而愈。
麻黄（去节） 柴胡（各一钱） 升麻（八分） 防风 山楂（各三钱） 生姜五片煎服。
消肿汤 治腰以下肿。小便不利。
猪苓 泽泻 木通 车前子 葶苈子（各二钱） 地骨皮 五加皮 生姜皮 海金沙 枳
壳（各一钱） 灯心三十茎。空心服。
琥珀丸 治一切水肿。小便不通。大便溏泻。气喘等症。
大戟 芫花（醋炒） 海金沙（炒） 白丑（微炒捣末水牛尿浸焙干各二两） 琥珀（八钱）
黄连（酒炒） 滑石（各一两） 肉桂（五钱）
上为末。以木通一斤。煎浓汤法为丸。每服二钱。空心白滚汤下。
扶脾逐水丸 治通身水肿。气望上逆。小便竟无。日不能食。夜不能卧。
白茯苓 云白术 山药 苦葶苈 花椒目 巴戟（各五钱） 黄连 黑丑（各八钱） 北五
味（二钱） 海金沙 泽泻（各一两）
上为末。荷叶煎汤为丸。每服三钱。空心白滚汤下。
尊重丸 治一切肿胀。小便涩。大便闭。并单腹胀。
沉香 丁香 人参 槟榔 广术香 青皮 陈皮 枳壳 白芷 车前子 苦葶苈 木
通赤
上为末。姜汁打糊为丸。每服二钱。空心白滚汤下。
治水肿照各经加药法。
如从阴肿起。其根在肾。加泽泻。从面肿起其根在肺。加桑白皮。从四肢肿起。其根在
脾。加大戟。从背肿起。其根在胆。加雄黄木通。从胸肿起其根在皮肤。加茯苓。从腹中
肿起。其根在脾与胃。加花椒目。从口唇肿起。其根在小肠。加巴戟。从脚肿起。其根在心
。加葶苈。从胁肿起。其根在肝。加芫花从腰肿起。其根在胃。加甘遂。从脐肿起。其根在
大肠。加姜皮。从头目肿起。其根在心肺。加羌活。从膈至小腹肿起。其根在膀胱。加海金
水肿这一病症，有因鼓胀病发展而来的，也有不因为鼓胀而直接引发的。观察患者眼部高起，形状像卧蚕一样，必定会发作这种病症。
论述治疗的大法应当健脾实脾、通利小便，消除腹部胀满、祛除湿邪、顺调气机。然而病情发展到这个阶段，水湿之气盛行，人体的真气已经失去主导权了。
祛水饮：治疗腰部以上浮肿，身体发热且热气在体表，适宜通过发汗的方法治愈。
麻黄（去除节段）一钱，柴胡一钱，升麻八分，防风三钱，山楂三钱，生姜五片，煎汤服用。
消肿汤：治疗腰部以下浮肿，小便不利。
猪苓二钱，泽泻二钱，木通二钱，车前子二钱，葶苈子二钱，地骨皮一钱，五加皮一钱，生姜皮一钱，海金沙一钱，枳壳一钱，灯心草三十茎，空腹服用。
琥珀丸：治疗各种类型的水肿，小便不通，大便溏泄，气喘等症状。
大戟，芫花（醋炒），海金沙（炒），白丑（微炒后捣成粉末，用水牛尿浸泡后焙干，各二两），琥珀八钱，黄连（酒炒），滑石（各一两），肉桂五钱。
以上药物研为细末，用木通一斤煎煮浓汁，作为粘合剂制成丸药。每次服用二钱，空腹时用白开水送服。
扶脾逐水丸：治疗全身水肿，气逆向上冲，小便完全无，白天不能进食，夜晚无法入睡。
白茯苓五钱，云白术五钱，山药五钱，苦葶苈五钱，花椒目五钱，巴戟天五钱，黄连八钱，黑丑八钱，北五味子二钱，海金沙一两，泽泻一两。
以上药物研为细末，用荷叶煎汤作为粘合剂制成丸药。每次服用三钱，空腹时用白开水送服。
尊重丸：治疗各种肿胀，小便涩滞，大便闭塞，以及单腹胀大。
沉香，丁香，人参，槟榔，广术香，青皮，陈皮，枳壳，白芷，车前子，苦葶苈，木通，赤芍（原文“木通赤”疑为木通与赤芍或赤小豆等，此处依文意保留“木通赤”或理解为木通及赤类药，鉴于中医术语规范，若指代不明，暂按原文列出，但通常“赤”指赤芍或赤小豆，此处为了忠实原文提取实体，仅列出现有词汇）。*注：根据上下文，“木通赤”极可能是排版错误或简写，常见配伍为木通、赤芍或赤小豆。但在实体提取中，我们严格依据文本。此处将“木通”和“赤”（若视为药材简称如赤芍/赤小豆）分开或合并处理，鉴于“木通赤”连写，暂视作一个条目或拆分。为严谨起见，提取“木通”，“赤”若指代不明则不单独列为标准药材名，除非是“赤小豆”。此处假设“赤”指代某种红色药材，但因非标准全称，且在列表中可能引起歧义，故主要提取明确名称。不过，为了完整性，若“赤”指赤芍，则加入。在此处，我将提取明确的药材名。* 修正：原文为“木通赤”，在古籍中有时指木通和赤芍，或者笔误。此处提取“木通”。至于“赤”，若非完整药名，暂不列入herbs，或视语境。但在本段中，其他均为完整药名。让我们再看一眼，“木通赤”后面没有字了。这很可能是“木通、赤芍”漏字。但在实体提取任务中，我们只提取明确出现的。因此提取“木通”。如果必须包含“赤”，需确认其指代。鉴于这是翻译任务，我先按字面提取。但在知识分类中，我会尽量准确。这里为了安全，只提取“木通”。等等，看最后一段“加姜皮”，说明皮类常用。那么“赤”可能指赤皮？不常见。最可能是赤芍。但既然没写全，我就不强行补全。不过，为了用户利益，我会在翻译中保持原样。在实体提取中，我将提取“木通”。如果“赤”被视为独立实体，它不是一个标准中药名。所以herbs列表里只有“木通”来自这一项的末尾部分。前面的都是完整的。
治水肿按照各经络部位添加药物的方法：
如果是从阴部开始肿胀，病根在肾，加泽泻；从面部开始肿胀，病根在肺，加桑白皮；从四肢开始肿胀，病根在脾，加大戟；从背部开始肿胀，病根在胆，加雄黄、木通；从胸部开始肿胀，病根在皮肤，加茯苓；从腹部中间开始肿胀，病根在脾与胃，加花椒目；从口唇开始肿胀，病根在小肠，加巴戟；从脚部开始肿胀，病根在心，加葶苈；从胁肋部开始肿胀，病根在肝，加芫花；从腰部开始肿胀，病根在胃，加甘遂；从肚脐开始肿胀，病根在大肠，加姜皮；从头目开始肿胀，病根在心肺，加羌活；从膈肌到小腹开始肿胀，病根在膀胱，加海金沙。
The disease of edema may arise from distension (Gu Zhang), or it may occur independently of distension. If the eyes appear swollen and raised, resembling a lying silkworm, this condition is certain to manifest.
The general principle of treatment should focus on strengthening the Spleen (Pi) and promoting diuresis, reducing abdominal distension, eliminating dampness, and regulating Qi. However, when the disease progresses to this stage, Water-Qi dominates, and the True Qi loses its authority.
Qu Shui Yin (Water-Expelling Decoction): Treats swelling above the waist, accompanied by fever and heat in the exterior. It is suitable to cure via sweating.
Ephedrae Herba (Mahuang, 麻黄) [removed nodes] qian, Bupleuri Radix (Chaihu, 柴胡) qian, Cimicifugae Rhizoma (Shengma, 升麻) fen, Saposhnikoviae Radix (Fangfeng, 防风) qian, Crataegi Fructus (Shanzha, 山楂) qian, Zingiberis Rhizoma Recens (Shengjiang, 生姜) five slices. Decoct and take orally.
Xiao Zhong Tang (Swelling-Reducing Decoction): Treats swelling below the waist and difficult urination.
Polyporus (Zhuling, 猪苓) qian, Alisma Rhizoma (Zexie, 泽泻) qian, Akebia Caulis (Mutong, 木通) qian, Plantaginis Semen (Cheqianzi, 车前子) qian, Lepidii Semen (Tinglizi, 葶苈子) qian, Lycii Cortex (Digupi, 地骨皮) qian, Acanthopanacis Cortex (Wujiaopi, 五加皮) qian, Zingiberis Pericarpium (Shengjiangpi, 生姜皮) qian, Descurainiae Semen (Haijinsha, 海金沙) qian, Aurantii Fructus Immaturus (Zhike, 枳壳) qian, Junci Medulla (Dengxin, 灯心) thirty stalks. Take on an empty stomach.
Hupo Wan (Amber Pill): Treats all types of edema, urinary obstruction, loose stools, asthma, etc.
Kansui Radix (Daji, 大戟), Genkwa Flos (Yuanhua, 袁花) [vinegar-fried], Descurainiae Semen (Haijinsha, 海金沙) [fried], Pharbitidis Semen (Baichou, 白丑) [lightly fried, pounded into powder, soaked in water buffalo urine, baked dry, each liang], Amber (Hupo, 琥珀) qian, Coptidis Rhizoma (Huanglian, 黄连) [wine-fried], Talcum (Huashi, 滑石) each liang, Cinnamon Twig (Rougui, 肉桂) qian.
Pound into powder. Use one jin of Akebia Caulis (Mutong, 木通) decocted into a thick liquid as a binder to make pills. Take two qian per dose, with plain boiled water on an empty stomach.
Fu Pi Zhu Shui Wan (Spleen-Supporting Water-Expelling Pill): Treats generalized edema, rebellious Qi rising upward, complete absence of urination, inability to eat during the day, and inability to sleep at night.
Poria (Baifuling, 白茯苓) qian, Atractylodis Macrocephalae Rhizoma (Yun Baizhu, 云白术) qian, Dioscoreae Rhizoma (Shanyao, 山药) qian, Lepidii Semen (Ku Tingli, 苦葶苈) qian, Zanthoxyli Semen (Huajiaomu, 花椒目) qian, Morinda Officinalis Radix (Baji, 巴戟) qian, Coptidis Rhizoma (Huanglian, 黄连) qian, Pharbitidis Semen (Heichou, 黑丑) qian, Schisandrae Fructus (Bei Wuwei, 北五味) qian, Descurainiae Semen (Haijinsha, 海金沙) liang, Alisma Rhizoma (Zexie, 泽泻) liang.
Pound into powder. Use decoction of Nelumbinis Folium (Heye, 荷叶) as a binder to make pills. Take three qian per dose, with plain boiled water on an empty stomach.
Zun Zhong Wan (Respect Pill): Treats all types of swelling, astringent urination, constipation, and isolated abdominal distension.
Aquilariae Lignum Resinatum (Chenxiang, 沉香), Syzygii Aromatisimi Flos (Dingxiang, 丁香), Ginseng Radix et Rhizoma (Renshen, 人参), Arecae Semen (Binglang, 槟榔), Curcuma Aromatica Rhizoma (Guangzhuxiang, 广术香), Tangerine Peel (Qingpi, 青皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Aurantii Fructus Immaturus (Zhike, 枳壳), Angelicae Dahuricae Radix (Baizhi, 白芷), Plantaginis Semen (Cheqianzi, 车前子), Lepidii Semen (Ku Tingli, 苦葶苈), Akebia Caulis (Mutong, 木通), Red Peony Root (Chi Shao, 赤芍 - inferred from "Chi" contextually, though text says "Mu Tong Chi", likely implying Mutong and Chi Shao or similar red herb. For strict extraction, we list explicit names. "Chi" alone is ambiguous. I will extract "Akebia Caulis" and note the ambiguity if necessary, but for the English translation, I will translate literally as "Mutong Chi" or interpret based on standard practice. Given the instruction to be accurate, I will translate "Mutong Chi" as "Akebia Caulis and Red Herb (Chi)" or simply "Akebia Caulis" if Chi is not a full name. Let's stick to the text: "Akebia Caulis". Wait, "Chi" usually refers to Chi Shao or Chi Xiao Dou. I will translate it as "Akebia Caulis and Red Peony Root (assuming Chi refers to Chi Shao)" for clarity in medical context, or strictly "Akebia Caulis and 'Chi'". Let's use "Akebia Caulis" and omit "Chi" as a standalone herb name if it's incomplete, or include it as "Red Herb". To be safe and academic, I will list "Akebia Caulis" and assume "Chi" implies a red-colored herb component often paired, but since it's not a full name, I'll translate the phrase as "Akebia Caulis and [Red Herb]". Actually, looking at the pattern, it's likely a typo for "Chi Shao". I will translate it as "Akebia Caulis and Red Peony Root" for medical accuracy, noting the source text ambiguity.)*
Pound into powder. Use Ginger Juice to make paste for binding pills. Take two qian per dose, with plain boiled water on an empty stomach.
Method for adding herbs to treat edema according to the affected meridian/location:
If swelling starts from the yin region, the root is in the Kidney; add Alisma Rhizoma (Zexie, 泽泻).
If swelling starts from the face, the root is in the Lung; add Mori Cortex (Sangbaipi, 桑白皮).
If swelling starts from the four limbs, the root is in the Spleen; add Kansui Radix (Daji, 大戟).
If swelling starts from the back, the root is in the Gallbladder; add Realgar (Xionghuang, 雄黄) and Akebia Caulis (Mutong, 木通).
If swelling starts from the chest, the root is in the skin; add Poria (Fuling, 茯苓).
If swelling starts from the abdomen, the root is in the Spleen and Stomach; add Zanthoxyli Semen (Huajiaomu, 花椒目).
If swelling starts from the lips, the root is in the Small Intestine; add Morinda Officinalis Radix (Baji, 巴戟).
If swelling starts from the feet, the root is in the Heart; add Lepidii Semen (Tingli, 葶苈).
If swelling starts from the hypochondrium, the root is in the Liver; add Genkwa Flos (Yuanhua, 袁花).
If swelling starts from the waist, the root is in the Stomach; add Kansui Radix (Gansui, 甘遂).
If swelling starts from the umbilicus, the root is in the Large Intestine; add Zingiberis Pericarpium (Jiangpi, 姜皮).
If swelling starts from the head and eyes, the root is in the Heart and Lung; add Notopterygii Rhizoma et Radix (Qianghuo, 羌活).
If swelling extends from the diaphragm to the lower abdomen, the root is in the Bladder; add Descurainiae Semen (Haijinsha, 海金沙).